Connect Card

Please complete this connect card to allow us to connect with you and be there for you when you are ready to take your next steps in getting more connected.

Name*
First Last
Address*
Street Address City State ZIP Code
Phone*
Email*
Birthday (MM/DD/YYYY)*
MM slash DD slash YYYY
Please check the following
- First Time Visiting
- Second Time Visiting
- Updating Information
- Prayer Request
I have decided to
- Accept Christ
Interested in:
- Serving
- Learning more about Baptism
Prayer Request
Question(s)